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《Chinese Journal of Sports Medicine》 2017-02
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Anterior Cruciate Ligament Reconstruction Combined with Anterolateral Tenodesis Procedure Treating Patient with High Grade Pivot-shift after ACL Injuries

Liu Xin;Zhang Hui;Feng Hua;Hong Lei;Department of Sports Medicine,Beijing Jishuitan Hospital;  
Objective To evaluate the early clinical outcomes of anterior cruciate ligament(ACL)recon-struction combined with anterolateral tenodesis procedure in patient with high grade pivot- shift afterACL injuries. Methods Among the 140 patients diagnosed as ACL injury and undergoing operations inour hospital between June and December 2015,18 presenting high grade pivot-shift 2+ or 3+ under an-esthesia were included into this study. During their surgeries,the anterolateral tenodesis procedure us-ing iliotibial tract ITB was applied together with ACL reconstruction. The anteroposterior stability ofthe knee was examined and pivot-shift test was conducted right after the operation as well as 6 and12 months after that. The Lysholm score was used to evaluate the clinical function of their knees. Results The mean follow-up period of the 18 patients was 12.7 ± 2.4 months. There were 14 males and4 females,with an average of 28.3 ± 7.1 years. No patients complained about unstable symptoms dur-ing the follow-up. The mean side-to-side difference of anteroposterior knee laxity assessed using KT-1000 at 30 degree knee flexion was 2.3 ± 0.7 mm,which was significantly improved compared withpreoperative assessment(9.2 ± 2.6 mm)(P0.01). For the preoperative examination,the pivot-shift examination indicated 2+ in 13 patients and 3+ in 5 patients. However,all were negative right after the op-eration. Seventeen patients presented negative pivot-shift at the final follow-up,while 1 had 1+ rotation-al laxity. Significant differences were found in the Pivot-shift test before and after the operation. Theaverage Lysholm score improved significantly from 67.7 ± 5.9(ranging from 55 to 78)before the opera-tion to 89.0 ± 4.6(ranging from 75 to 95)after that. Conclusion The high grade pivot-shift rotationalinstability could be effectively restored using the anterolateral tenodesis procedure,in addition to ACLreconstruction. The early stage clinical outcomes indicate significant improvement of the knee stabilitypostoperatively.
【CateGory Index】: R687.4
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【References】
Chinese Journal Full-text Database 2 Hits
1 Wu Guan;Hong Lei;Shen Jiewei;Song Guanyang;Feng Hua;Department of Sports Medicine,Beijing Jishuitan Hospital;;Anterolateral Ligament Reconstruction in ACL Insufficient Knee with High-grade Pivot Shift——Surgical Technique and Early Follow-up Results[J];中国运动医学杂志;2018-01
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【Co-references】
Chinese Journal Full-text Database 7 Hits
1 Liu Xin;Zhang Hui;Feng Hua;Hong Lei;Department of Sports Medicine,Beijing Jishuitan Hospital;;Anterior Cruciate Ligament Reconstruction Combined with Anterolateral Tenodesis Procedure Treating Patient with High Grade Pivot-shift after ACL Injuries[J];中国运动医学杂志;2017-02
2 Lin Lin;Ao Yingfang;Li Guoan;Institute of Sports Medicine,Peking University Third Hospital;Bioengineering Lab,Department of Orthopaedics,Massachusetts General Hospital;;Research advances on the development of osteoarthritis after anterior cruciate ligament reconstruction[J];中华骨科杂志;2016-13
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